Benjamin Daniel Bloch, PSY.D.
Individual provider Active NPI Specialist · Soledad, CA
NPI 1003071440 · NPPES record last updated Jul 24, 2008
Key facts
- NPI
- 1003071440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 31625 Highway 101 S
Soledad, CA 93960-9529 - Phone
- (831) 678-4019
- NPI assigned
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
31625 Highway 101 S
Soledad, CA 93960-9529
Mailing address
PO Box 1020
Soledad, CA 93960-1020
Phone (831) 678-4019
Other providers in Soledad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.